胎心听诊的质量控制探讨

目的 探讨多普勒听诊胎心的影响因素。方法 采用胎心录音，由仪器自动计算规定时间内的平均胎心率值作为参考值，观察不同听诊者对同一胎心录音、不同基线的胎心录音进行听诊以及孕妇采取不同体位对胎心听诊结果的影响。结果 不同听诊者对同胎心的听诊结果差异较大；听诊时间越短。听诊者之间的听诊结果差异越大。结果越不准确；听诊异常胎心率，听诊者之间的变异较听诊正常胎心率大且不准确；孕妇平卧位进行胎心听诊易出现误差。结论 应制定胎心听诊的质量控制措施。

Explore about contral of quality of fetal heart rate diagnosis

Objective To explore effect element about to be used the Doppler monitor diagnosis fetal heart rate.Methods To be used record of fetal heart rate .By Auto-monitor count average fetal heart rate in the provided time,it is stantard.To be observe difference doctors to same a fetal heart rate,the same a pregnant's difference body plsition,difference basic line of fetal heart rate record diagnosis.Results The difference doctors to same a pregant's fetal heart rate will have a difference effect.examine time more short and more difference dffect .especially abnormal fetal heart rate,between doctors will have more differnce effect and inexactness.During the pregant lay down to prostrate,happen to be easy mistake more.Conclusions Must be make an about fetal heart rate diagnosis's quality control measure.